
June 2026 | Karma & Disease
Om Namah Sivaya
Blessed Self,
It is widely considered that Swami Vishnudevananda was the first in the world to start a yoga centre (in Montreal, Canada) offering structured courses, and the International Sivananda Yoga Vedanta Centres was also the first to offer a structured Yoga Teachers’ Training Course in the world. Swamiji went to great lengths to bring the ancient teachings to many seekers around the world, offering health and happiness to all who would embrace it. His tireless peace missions also helped to unite people and built awareness that we are all the same–human beings.
By the grace of Master and Swamiji our ashram in the Himalayas is quite full with no available beds for the next few weeks. A Teachers’ Training Course is in progress, with the students expressing that they are extremely happy with the teachings and with the ashram’s pure energy. We are in the process of adding more rooms which will be ready by mid-June, so we request all of you to come and visit us.
Our south Indian ashrams are very busy with courses and the Yoga Vacation programme, while the Sivananda Institute of Health is now in its low season, nevertheless with lots of people getting benefitted with the Ayurvedic services offered.
We are inspired by the continual influx of students and feel purpose for our sadhana and service. Sending pranams to all.
May Master and Swamiji’s blessings be with you always.
Pranams,
Prahlada
Sivananda Yoga Vedanta Ashrams & Centres, India

When we are calm and able to pay attention, the answers come to us. We open a book to just the right message we need to hear. We overhear a fraction of a conversation which completes our own thought. This month, as we focus on karma and disease, we are powerfully reminded that we are not alone in the world. The teachers are always with us; the teachings are always with us. Messages about karma and disease seem to be arriving from all directions. We are reminded that, in a difficult moment in life, such as an illness or disease, the answers are there. We need to practice, meditate, calm the mind and then ask the right questions of ourselves. All answers are within, and guidance is available through the teachings, and the gurus, whose presence is always there energetically.
Disease is a particularly profound topic. We normally concentrate our treatment on the physical body, and rightly so. However, an understanding of the three bodies and five sheaths may help yield additional answers as to the source of disease beyond the physical, however. Where did my thoughts go off track? Where might my emotions have been out of balance? Have I made some wrong decisions in life? Can I change course? (Yes, always!) However, karma also enters in. Perhaps my karmas have led me to this disease. Perhaps the disease is a sort of karmic purgation. Then, I need to summon some grace, some softening, some self-care at levels beyond the physical. It may be my karma, but there is much that can be done. We may even be able to view disease as a blessing, as a turning point. Difficult, maybe, but possible.
In this issue of Sivananda Yoga Sandesha we explore Karma and Disease. We share Swami Sivananda’s words on the Secrets of Karma, the Sources of Disease from the Laghu Yoga Vashishta, exerpted from Swamiji’s book Reincarnation, Karma, and Disease. We visit the Vaitheeswaran Koil, a healing temple in Tamil Nadu, understand the philosophy of Karma Yoga, and examine Disease from an Ayurvedic perspective. As usual, please feel free to reach out to us with your thoughts and feedback at: [email protected]
Snapshots: May Events & Programmes
These snapshots were taken at various events around India last month: a three day trek to the nearby Agasthya peak with karma yoga staff and Nataraj from Neyyar Dam Ashram, a visit by Dwarka Centre students and Vijay to the Netala Ashram and the cave in Gangotri, the new Vishnu Kutir rooms on the opposite bank of the Ganga in Netala, mantra initiation in the Netala Ashram, and the monthly homa at the Chennai Centre.
Links/Research: Yoga and Chronic Disease & the Symbol of Medicine
The following article provides an umbrella review of some of the research and trials being conducted on the effectiveness of yoga. In summary, they found that yoga interventions had strong effects on depression, blood pressure, blood glucose, and fatigue management. Read the article here:
https://pmc.ncbi.nlm.nih.gov/articles/PMC12207205/
Which is the true symbol of medicine? The Caduceus or the Staff of Aesculapius? One snake or two?
Read more here: https://pmc.ncbi.nlm.nih.gov/articles/PMC6913859/
Spiritual Calendar
June 11 – Ekadasi
June 15 – New Moon
June 25 – Ekadasi
June 29 – Full Moon
Teachings Excerpt: Secrets of Karma, Swami Sivananda
Karma is the sum-total of works-good, bad and mixed-which an individual performs during his life. It is the collective totality of man’s actions. It is these actions that determine his future existence. There is double retribution or reward for man’s virtuous actions. He gets a good birth with suitable surroundings, environments and opportunities for his good actions: this is one reward. Another reward is that he gets a place in the abode of heaven also. But after the consummation of happiness he is sure to be hurled back to this physical plane. Lord Krishna says in the Gita:
They, having enjoyed the spacious heaven world, their holiness withered, come back to this world of death. Following the virtues enjoined by the three (Vedas) and desiring objects of desires, they attain to the state of coming and going.”
It is very difficult to say what Karma brings forth a particular disease. Is it a single Karma or a combination of several Karmas that brings epilepsy? The sages declare that the theft of a golden necklace brings Scrofula in the neck in the next birth. They say that leprosy, epilepsy and gulma (chronic gastric catarrh) are due to very bad Karmas. It is also difficult to say whether this body is the resultant product of a single Karma or a mixture of several Karmas. Generally one strong and powerful Karma determines the birth of an individual and keeps up the current of life of that particular birth. Some minor Karmas may be joined to the main trunk or the central thread. Learned persons say that one will have to take several births sometimes to exhaust the fruits of one important virtuous Karma. The secret of Karma is very mysterious. God only knows them because He is the Law-giver. Sometimes highly virtuous and vicious Karmas bring forth their fruits in the very life itself. It is impossible for a man to remain without doing any action either through the organs of action, feet, hand, etc., or through the mind. Even if he becomes a Sannyasin and retires into the cave in the Himalayas he must continue eating, drinking, answering the calls of nature, sleeping, etc.

That is the reason why the Lord says in the Gita: “Nor can anyone, even for an instant remain really actionless; for helplessly is everyone driven to action by the qualities born of nature.” Ch. III-5.
If work ceases to produce rebirth, literally no one can be freed. To avoid this difficulty knowledge is credited with powers of destroying Karmas. The Gita says:
Jnanagnih sarvakarmani bhasmasatkurute.
“The fire of wisdom reduces all actions to ashes.” Ch. IV-37.
To sum up in a nutshell: there are three kinds of Karmas, viz., the Sanchita or accumulated ones, the Prarabdha or the fructiferous, and the Agami or current actions. Sanchita are works which have been accumulated in several previous births; Prarabdha are those which have given the present life and have already started to bear fruit; and Agami are the works which are being done in this present life. They will bring fruits in a future life. The Sanchita and Agami are destroyed by getting Brahma Jnana or knowledge of the Self or God. But the Prarabdha can only be exhausted by experiencing their fruits in the present life. A child is born blind, deaf or dumb-this is due to Prarabdha. One man dies at the age of ninety, another at thirty-five and the third at eighteen: this is due to Prarabdha. Jati (caste), longevity of life, Bhoga (enjoyment), are all due to Prarabdha. A virtuous man suffers, he is starving. A scoundrel is in a prosperous condition. An aged mother loses her only son who was her sole prop. A young girl who was newly married loses her husband. Instances like these can be multiplied ad infinitum. In all these cases Prarabdha operates unerringly with scientific accuracy and precision.
See how Prarabdha operates. A lady from Paris came to me for an interview. She said that ever since she landed in India she was quite at home in the country. India was very familiar to her. She liked India and Indians very much. Within three months she forgot all about her parents and native place. She liked the Indian way of dressing. So she changed her dress. She wanted to domicile in India for the practice of Yoga. This clearly shows that in her previous birth she was born in India. Another American lady lived in Lakshman Jhula near Rishikesh fifteen years ago. She lived on Bhiksha, led the life of an ascetic and died on the banks of the Ganga. This is all Prarabdha. Hindus say that wherever there is Anna-Jala (food and drink) for a man, there he will be dragged. You cannot remain in a place even for a second more, when the Anna-Jala is finished.
The last powerful thought that occupies the mind of a man in his dying moment determines the nature of his next birth. You will find in the Gita:
Yam yam vaapi smaran bhavam tyajatyante kalevaram
Tam tamevaiti Kaunteya sadaa tadbhavabhavitah.
“Whosoever at the end abandoneth the body, thinking upon any being, to that being only he goeth, O Kaunteya, ever to that confirmed by nature.” Ch. VIII-6.
If the thought of tea comes in your mind at the moment of death, you may become a manager of a tea estate in the next birth, if you had done virtuous actions, or you may be born to do hard labour in a tea estate if you had done any evil actions. A drunkard will have thoughts of liquor when he is dying. A licentious man will think of women only when he is about to expire. I saw a dying man who had the habit of using snuff. When he was in an unconscious state he used to move his fingers towards the nose every now and then and do imaginary snuffing. Obviously he had thoughts of snuff. A medical officer of a hospital used all sorts of abusive terms while he was in a dying condition. Raja Jada Bharata, out of compassion for a deer took great care of the animal. He gradually developed attachment. The one thought of the deer only occupied his mind when he was about to die. So he had to take the birth of a deer. In every Hindu home the Names of God, such as Hari Om, Ram, Ram Narayan and Krishna are whispered into the ear of the dying man. The idea is that the dying man may remember the Name and form of the Lord and thereby reach the blissful abode. If a man leads a virtuous life for many years, and if he does Japa and meditation for a long time, then only, through the force of habit he will remember God and His Name at the moment of death.
Hindu scriptures say that a man may become a Deva or a beast or a bird or vegetable or stone according to his merit or demerit. The Upanishads also corroborate this statement. Kapila also agrees on this point. But Buddhism and some Western philosophers teach: ‘There is no more retrogression for a man when once he takes a human birth. There is no necessity for him to be born as an animal for the sake of demerit. He can be punished in a variety of ways in the human birth itself.’ When a man takes the form of a Deva, all human Samskaras, habits and tendencies will remain dormant. When a man takes the form of a dog, the animal-tendencies, habits and Samskaras only will manifest. Human tendencies will remain suppressed. Some dogs get royal treatment in the palaces of kings. They move in cars, eat good food and sleep on cushions. These are all degenerated human beings.
After death this physical body, composed of five elements, is cast off like a slough or the coil of a snake. The inner astral body or Linga Sarira, which consists of nineteen Tattvas, viz., five Karma Indriyas, five Jnana Indriyas, five Pranas, mind, Buddhi, Chitta and Ahamkara, goes to heaven, comes back to the physical plane, puts on another physical body and reincarnates. It is this body that contains the impressions of Karmas. This body remains till one gets knowledge of the Self and consequent emancipation. Then it disintegrates and the components get involved in the ocean of Tanmatras or Avyaktam.
Heaven and hell are mental creations only. It is the mind that makes a heaven of hell and a hell of heaven. They are Puranic concepts. For a Vedantin there is neither hell nor heaven. Who is to suffer? The Atman is Akarta or Nishkriya. The Atman is all-pervading. It is ever free (Nitya Mukta).
Works are extinguished either by expiatory ceremonies (Prayaschitta) or by the knowledge of the Self or Brahman, or by the full fruition of their consequences.
Smritis declare that some single actions such as the murder of a Brahmin, are the causes of more than one new existence.
Teachings Excerpt: Sources of Disease from Laghu Yoga Vashishta, from Reincarnation, Karma, and Disease, by Swami Vishnudevananda
Ram interposed and said:
Please enlighten me as to the origin and destruction of mental and bodily disease.
In answer to this Vashishta continued:
The pains that afflict the body are called the secondary diseases while the Vasanas that affect the mind are termed mental or primary diseases. We have reached our present state through the absence of the transcendental Jnana, want of mastery over our sense organs, and the perpetual growth of desire and egoism in the mind. And our delusion becomes intensified in us by forgetting the degradation of our state through such causes. With the growth of such delusion, the mental diseases also congeal in us like the snows of winter. When the intense desires of a person begin to manifest themselves externally and the Ajnana in him preponderates, he performs fearful karmas and these in their turn breed bodily diseases.
The body is further subject to diseases through such actions as the eating of unwholesome food, living in unhealthy countries, doing things at unseasonable hours, injuries inflicted, association with the wicked, longing after improper things, evil desires, bad thoughts, the distension and contraction of the orifices of the nadis in the joints etc., and the interrupted flow of beneficial Pranas throughout the body–these cause the body to wither.

These flourish in the form of diseases in the body, waxing and waning like the floods in a river during the different seasons. The body attracts effects to itself according to the nature of its countless affinities, good or bad, whether in previous births or the present one. Thus we see diseases, primary and secondary, arising through the five-fold Bhutas (elements).
Now listen O Rama, to the manner in which the two forms of disease, primary and secondary, are destroyed in two ways. The wise say that primary disease has two subdivisions: samanya (ordinary) and sara (essential). The former includes the diseases incidental to the body while the latter includes the rebirth to which men are subject. If the diseases which affect this body return to their primal source then they are destroyed. Their primary causes being (bad) thoughts. If these thoughts are destroyed all bodily diseases will vanish. But the disease of rebirth, coming under the head of sara, will never end except through Atma-jnana. Is it possible to suppose that the misapprehension of a serpent in a rope can be removed except through the discovery of the real rope? Those grievous diseases of the body which do not arise through the original cause can be extirpated by mantras, medicine, and the many means used by men well versed in medical lore. We cannot expiate on this subject any further here.
Here Ram asked Vashishta how mental diseases arise and how they are destroyed.
Vashishta proceeded:
When the manas is agitated, then this body also follows in its wake. And when the body is agitated then there is no proper perception of the things that are in one’s way and Prana flies from its even path to a bad road, staggering like an animal wounded by an arrow. Through such agitation, Prana, instead of pervading the whole body steadily and equally, vibrates everywhere at an unequal rate. Therefore the Nadis do not maintain a steady position, but quiver. Then to the body, which is the receptacle of food digested partially or completely, the Nadis are simply dead because of the fluctuation of the pranas. The food which settles down in this body amidst such commotion is transformed into incurable diseases. Thus through the primary cause (the mind) the disease of the body is generated. If this primary base gold, which, when placed in the crucible, is transmuted through alchemical processes into pure gold, the mind is rendered unfailingly pure through true, virtuous and pure actions and by serving the wise. In the mind purified thus there is unalloyed bliss. Is not the whole world exhilarated with joy when the soft and delicious moon begins to shed its silvery light? If the mind becomes purified with true Sattvaguna, then Prana-vayu will begin to circulate freely throughout the body, the food taken will be digested properly and hence no disease will arise. I have thus described to you the path by which the two kinds of diseases can be destroyed.
Publ., Adyar Library and Research Centre, Madras, 3rd Edition 1975, pp. 393-395
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Panchakarma Detoxification Programme (PDP)
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From the Community: 37 Souls | Student Song | TTC in Himalayas!
The students of a recent Teachers’ Training Course wrote a song about their experience at the Netala Ashram in Uttarkashi, Himalayas. The voices and music are AI generated but the lyrics are their own. Hope you enjoy!
Ayurveda & Yoga: Disease from an Ayurvedic Standpoint
Disease, according to Ayurveda, does not directly begin in the tissues of the body. There is an interplay of imbalances at the subtle energetic level before a disease begins to show up in the body tissues. These energies in Ayurveda are understood as Vata, Pitta, and Kapha. The real understanding behind these energies is very logical and provides a deep-rooted way of looking at disease. This viewpoint helps us understand how every disease is nothing but a manifestation of either too much of heat (pitta), too much of air and movement (vata), or too much stagnation (kapha) in the body.
The Core Principles of Energy in Ayurveda: The 3 doshas, Vata, Pitta, and Kapha are inherently present and technically refer to functional energies within every human being. These three energies are internal forces that symbolize how our physiology and psychology functions.
At the psychophysiological level:

- Pitta is the energy of heat, and it controls everything related to heat in the body. It governs metabolism, digestion, body temperature, and cellular transformation, and all body functions that require heat to function.
- Vata is the energy of movement within the body. It governs the channels of physical and subtle movement including the nervous system, the circulatory and breath channels that are directly associated with any kind of internal movements. Vata controls the abdomen below the navel, the colon, pelvis, nervous system, and lungs, and it impacts the functions of breathing, excretion, speech, the pumping of blood, and igniting the digestive fire.
- Kapha is the energy of stability. It governs body mass and physical structures in the body, body stability, internal lubrication and immunity. It governs bones, muscles, tendons and acts as a binder to keep the cells together. The body stays moist, joints lubricated, and immunity strong when Kapha is balanced in the system.
Diseases Associated with Energy Imbalances:
Pitta – When aggravated, Pitta energy feels sharp, penetrating, and excessively hot in the body tissues. This imbalanced energy leads to inflammation, hyperacidity, and burning sensations. In its chronic state, imbalanced pitta energy becomes the force behind acid reflux, peptic ulcers, inflammation of the stomach or esophagus, ulcers, skin rashes, skin disorders such as eczema and psoriasis, intense emotions like anger, fatigue, migraine, jaundice, and low blood sugar.
Vata – When aggravated, Vata energy feels dry and cold inside. This imbalanced energy leads to spasm-like functions, anxiety, insomnia, chronic constipation, arthritis, neurological disorders, dryness, headaches, tremors, sciatica, stiff legs, arthritis, indigestion, pain in bones and joints, fear and restlessness, abnormal pulse rate, and palpitations.
Kapha – When aggravated, Kapha energy feels heavy, slow and sticky. It is the imbalance that leads to excess mucus, fluid retention, weight gain and cellular overgrowth, obesity, lethargy, edema, and depression.
Sadhana: Karma Yoga – The Philosophy, The Approach, The Practice
Karma Yoga is one of the four paths of yoga and its literal sense means ‘Selfless Action’. The philosophy behind this approach to yoga states that all action must be performed as an offering to God, with no intention for personal reward.
The Karma Philosophy: Karma Yoga is the ‘Path of Action’, taken towards the journey of salvation. The karma philosophy emphasizes performing one’s duties without any attachment towards the action or its results. The root of Karma Yoga theory is found in the teachings of the Bhagavad Gita, where Lord Krishna states, “Do your karma (action) without expecting any fruits for your karma”.
The Practice of Karma Yoga: Karma Yoga becomes daily practice when you perform your tasks with complete dedication, without attachment to the outcome. The character of a Karma Yogi includes a righteous attitude, commitment to action, and detachment from the results of the action. Success of an action must be measured in terms of sincerity towards one’s duties, and not by expectation of equal reward or return.

Reference in Bhagavad Gita: Lord Krishna explains to Arjuna that a sense of true fulfillment for any action comes when an action is dedicated to a higher purpose versus performing it for a personal gain. An action performed in alignment with one’s divine purpose purifies the mind and removes the ego, leading one towards spiritual liberation and inner peace. Karma Yoga is Based on the Following Principles:
- Righteous Attitude: In Karma Yoga one must adopt an attitude of sincerity, dedication, effort, and positivity.
- Focus on Action: One definition of yoga is, ‘Yogah Karmasu Kaushalam’; an important Sanskrit phrase from the Bhagavad Gita. The translation is, ‘Yoga is excellence (or skill) in action’. In Karma Yoga, the emphasis must be on performing the action to 100% of our capacity and focus. There must be no attachment to the fruits of the action, no sense of ego, and no desire. The action must be performed truly selflessly.
- Follow Your Duty (Dharma): Every human being has their own karma to fulfill, and must remain dedicated to his/her Dharma, carrying out their duties responsibly. Dharma performed with dedication and awareness is the only path to attaining peace and joy.
- Selfless Service (Seva): In Karma Yoga, each action is performed as an offering to God and with an intention to benefit others.
- Detachment (Vairagya): In Karma Yoga, the path to inner joy and peace is defined as practicing detachment with respect to the outcome of action. You must cultivate the courage to accept all results with equanimity.
- Ego Erasure (Ahamkara): In Karma Yoga, we must maintain a state of being and not carry the ego of ‘doing’ the action.
Temple Showcase: Vaitheeswaran Koil, Mayiladuthurai, Tamil Nadu
Temples are broadly seen as places of healing. The ill and their families go to pray. The healthy express their gratitude for their good health. In the Vaitheeswaran Koil (Temple) in Tamil Nadu, Siva is worshipped as a Vaidyanathar or Vaitheeswaran, a “God of healing” who can cure diseases. The name Vaitheeswaran is derived from to words: Vaidya (doctor) and Ishvara (God). The holy waters of the temple tank is thought to contain nectar which can cure all diseases. The nearby village is also know for palm leaf astrology, known as Naadi astrology. Many have worshipped at this temple, including Rama and Lakshmana during the Ramayana period, Jatayu, Muruga, and Surya. The temple contains a small shrine to Dhanvantari, the physician of the Devas.
The Vaitheeswaran Temple is about 90 km from Thanjavur and can be visited on a day trip from our Ashram in Madurai, Tamil Nadu.
“The diseases we suffer from the births we get here on earth are all products of actions done by us in previous times. Every action has its reaction and no action goes unrewarded in a suitable manner.”
-Swami Sivananda







